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Updated: Nov 20, 2025

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
Published on: February 7, 2025
ROBOTIC GASTRECTOMY: TECHNIQUE STANDARDIZATION
Andre Roncon Dias1, Marcus Fernando Kodama Pertille Ramos1, Daniel Jose Szor1
1Cancer Institute, Hospital das Clínicas, University of São Paulo, São Paulo, SP, Brazil.
Background:
Trocars position for the Si model (position is similar for the Xi, although trocars stay more in line). Robotic gastrectomy is gaining popularity worldwide. It allows reduced blood loss and lesser pain. However, it widespread use is limited by the extensive learning curve and costs.
Aim:
To describe our standard technique with reduced use of robotic instruments.
Methods:
We detail the steps involved in the procedure, including trocar placement, necessary robotic instruments, and meticulous surgical description.
Results:
After standardizing the procedure, 28 patients were operated with this budget technique. For each procedure material used was: 1 (Xi model) or 2 disposable trocars (Si) and 4 robotic instruments. Stapling and clipping were performed by the assistant through an auxiliary port, limiting the use of robotic instruments and reducing the cost.
Conclusion:
This standardization helps implementing a robotic program for gastrectomy in the daily practice or in one`s institution.

